| National Provider Identifier [NPI]: | 1396782785 |
| Last Name Of The Provider | DEVANATH |
| First Name Of The Provider | NRIPENDRA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2598 W WHITE RIVER BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MUNCIE |
| Zip Code Of The Provider | 473035251 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 217 |
| Number Of Services | 16017 |
| Number Of Medicare Beneficiaries | 4832 |
| Total Submitted Charge Amount | 963481 |
| Total Medicare Allowed Amount | 379549.12 |
| Total Medicare Payment Amount | 302251.08 |
| Total Medicare Standardized Payment Amount | 310265.53 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 217 |
| Number Of Medical Services | 16017 |
| Number Of Medicare Beneficiaries With Medical Services | 4832 |
| Total Medical Submitted Charge Amount | 963481 |
| Total Medical Medicare Allowed Amount | 379549.12 |
| Total Medical Medicare Payment Amount | 302251.08 |
| Total Medical Medicare Standardized Payment Amount | 310265.53 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 939 |
| Number Of Beneficiaries Age 65 to 74 | 1895 |
| Number Of Beneficiaries Age 75 to 84 | 1398 |
| Number Of Beneficiaries Age Greater 84 | 600 |
| Number Of Female Beneficiaries | 3351 |
| Number Of Male Beneficiaries | 1481 |
| Number Of Non Hispanic White Beneficiaries | 2934 |
| Number Of Black or African American Beneficiaries | 1836 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3215 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1617 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3391 |